I have an ear infection in both ears and I have high blood pressure. My doctor prescribed Carvedilol for the HBP and Sterapred DS (Prednisone) for the ear infection. After reading about Sterapred this seems like the exact opposite of what I should be taking to clear up my ear infection. Calls to my doctor office have gone un-returned for 2 days. I'll take the Carvedilol, but do not want to take a steriod to clear up an infection if it's the wrong thing to do.
Ear infection and high blood pressure - should I take prednisone?
- Posted:
- 23 Sep 2010 by rsmythe
- Topics:
- sterapred, sterapred ds, high blood pressure, infections, otitis media, carvedilol, prednisone, blood disorders
Details:
Answers (2)
maso416923 Sep 2010
Hello,
Interactions between your selected drugs
prednisone ↔ carvedilol
Applies to: Sterapred DS (prednisone), carvedilol
MONITOR: Corticosteroids may antagonize the effects of antihypertensive medications by causing sodium and fluid retention. These effects may be more common with the natural corticosteroids (cortisone, hydrocortisone) because they have greater mineralocorticoid activity. In addition, some calcium channel blockers such as diltiazem and verapamil may increase corticosteroid plasma levels and effects by inhibiting their clearance via CYP450 3A4 metabolism.
MANAGEMENT: Patients on prolonged (i.e., longer than about a week) or high-dose corticosteroid therapy should have blood pressure, electrolyte levels, and body weight monitored regularly, and be observed for the development of edema and congestive heart failure. The dosages of antihypertensive medications may require adjustment.
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